Laserfiche WebLink
Schedule C Type o~ I~int inink. SCHEDULE C <br /> sEENOn'MonetarYINsTRUCTIONS ON REVERsECOntributionsReceived A-~=m.v~.,~.~towhole dolbr~. [ fromStatementt°vfrs peri°d~ q~ Page <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> ;ULL NAME AND ADDRESS OF CONTRIBUTOR <br /> OCCUPATION AND EMPLOYER CUMULATIVE TO CUMULATIVE TO <br /> DATE (m COMMITI'EE, m ADDfTION TO COIdMITTEE'S NAME AND ADDI~SSo (IF SELF-EMPtOYED, ENTER NAME 04: DESCRIPTION OF FAIR MARKET DATE <br /> RECEIVED imER i.D. NUMmEn O~. ~F NO :.O. NUMBER HAS NEN ASSIGmD, ' Business) GOODS OR SERVICES VALUE CALENDAR YEAR DATE OTHER <br /> ENTERTBEASU~R'S NAMe ANOAmMESS) (JAN. 1 -DEC. 31) (IF APPLICABLE) <br /> I <br /> <br />Non-Moneta~ ;ontribution; Summa~ ~ ~ 0 <br />~. Amount re(eiv~ this ~ri~-- non-moneta~ (ontributiom of $ 100 or more. <br />(In(lude all S(h~ule C subtotall.) .................................................................................... <br />2. Amount re(eived thi; ~ri~-- non-moneta~ (ontributiom of less than $ 100. <br />IDo not itemize.) ........................................................................................................ $~ <br />~. Total non-moneta~ (ontributiom re(eived this ~ri~. <br />(Add Lines t a~ 2. Enter here and on the Summa~ Page, Column A, Line 4.) ....................... TOTAL $ <br /> <br /> <br />